Louisa Gould, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119461 Issued in MA

Practice address

400 Nathan Ellis Hwy Ste B
Mashpee, MA 02649-3121

Phone

(774) 255-0635

NPI assigned

Dec 22, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

432 Intentional Therapeutics IncGroup PAC ID 3678943826, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 432 Intentional Therapeutics Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mashpee, MA
  • NPI 1962121772
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1861638801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410056",
            "telephone_number": "774-255-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATHAN ELLIS HWY STE B",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493121",
            "telephone_number": "774-255-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "LOUISA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Paul Golden, M.D.
• Harold F. Goldstein, DDS
• Maliqua Gomes, RN
• Sheila Scott Gordon, LICSW
• Francis Gormley Jr., LMSW
• Laura Greene, DPT
• Jessica Greeney, LMHC
• Jennifer L Grelle, APRN, FNP-C
• Jennifer L Griffin
• Barbara Lynne Grove, OD

• Clinical Social Worker in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.